MICHAEL ICZKOVITZ, D.D.S.

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1235159930

Practice Address

3303 TRIER RD
Fort Wayne, IN 46815

Phone: (260) 484-9990

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X No 2901011066 (MI)

Frequently Asked Questions

NPI 1235159930 is the National Provider Identifier for MICHAEL ICZKOVITZ, D.D.S., a Dentist - Oral and Maxillofacial Surgery provider located in Fort Wayne, IN. This NPI was enumerated on July 19, 2006.
MICHAEL ICZKOVITZ, D.D.S. practices at 3303 TRIER RD, Fort Wayne, IN 46815.

Quick Facts

NPI
1235159930
Type
Individual
Enumerated
Jul 19, 2006
Last Updated
Mar 26, 2009

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